Organization Active NPI

Choice Podiatry Center, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Marietta, GA
National Provider Identifier
1043827280
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
CHOICE PODIATRY CENTER, INC.
Practice address
540 Powder Springs St Ste B6
Marietta, GA 30064-3559
Phone
(770) 702-8723
Fax
(770) 702-8723
NPI assigned
Sep 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Latisha Cheree McLean
Title
Office Manager
Phone
(770) 702-8723

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

540 Powder Springs St Ste B6
Marietta, GA 30064-3559

Mailing address

540 Powder Springs St Ste B6
Marietta, GA 30064-3559
Phone (770) 702-8723

National Provider Directory

National Provider Directory
Tax ID family
Choice Podiatry Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

540 Powder Springs St
Ste B6
Marietta, GA 30064
Phone (678) 807-8320

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1043827280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 POWDER SPRINGS ST STE B6",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643559",
            "telephone_number": "770-702-8723",
            "fax_number": "770-702-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 POWDER SPRINGS ST STE B6",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643559",
            "telephone_number": "770-702-8723",
            "fax_number": "770-702-8723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE PODIATRY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "MCLEAN",
        "authorized_official_first_name": "LATISHA",
        "authorized_official_middle_name": "CHEREE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-702-8723"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.